Seizure disorder treatment

The primary goal of treatment with a patient with epileptic seizure is to have minimum effects to the seizure disorder. With patients more than 60% needing treatment, the aim of establishing a substantial free status would be like a dream come true (El-Radhi, 2015). There are a lot of patients who require treatment due to adverse experience and the effects that they go through. Some patients need to be assisted with therapy. Since some seizures are refractory to medical therapy. The use of monotherapy can be considered since it decreases the likelihood of the adverse effects and the avoidance of drug interaction. People with seizure experience psychosocial adjustments after they have been diagnosed. In that essence, their social, vocational rehabilitation would be necessary since many physicians underestimate the consequences that the diagnosis can have on the patients. Carrying out medication regarding drugs might not be enough since the patients might also need psychological therapy as they might live in fear of having another seizure. Out of that fear they might not be able to live or work at their level best since they will always have a barrier.

A study was done to indicate that about 60% of the epileptic seizure can be controlled partially or even fully by medication. If the epilepsy is controlled, then the epilepsy is virtually seizure free for a lifetime (El-Radhi, 2015). There are drugs in the form of medication that is used to monitor seizure. They are referred to as the antiepileptic drugs or the AEDs. They are known to act in two primary ways which are suppressing the undesirable activity of the damaged neurons and as a result the drug would eventually minimize the electrical discharge. The other way includes reducing the responsiveness of the healthy neurons that are in the neighboring and blocking the spread of excessive electrical discharge to the brain.

People who have epilepsy make it their lifetime goal to find a particular drug that will maximize the effects of the seizure. To do this, there is a need for cooperative experimentation and observation during which the drugs are tried and the dosage result attained. Recent technological improvement has made procedures to be safer and even feasible. Following up on the tissue heating through the use of MRI which have been developed to a level of importance (El-Radhi, 2015). With the use of the NeuroBlate MRI-guided laser ablation system and visualase thermal ablation system,  the surgeon has been made to plan and approach the target tissue and treat it as it helps the surgical plan of treating the target and at the same time avoiding the safe surrounding.

Seizure treatment guidelines

The approval of the FDA allowed adults to have therapy with the refractory onset epilepsy. The method or the system is that of a defibrillator. It detects and look out dor unusual activities in the brain and afterward, it delivers the electrical stimulation to onset zones so that they can abort all the unwanted activity even before the situation develops to a more serious one.

When the seizure medication is being selected, the health care provider has to consider the type of seizure as well as the medical conditions that the patient might experience once they take it. There are a lot of anti-seizure medication to choose from, and they include generic anti-seizure medications (Grimes, 2009). Generic anti-seizure medication is available at any generic formulations which can help in cost effectiveness. The aim of epilepsy treatment is to eliminate the seizures and make the symptoms less severe. The anticonvulsant drug therapy is the most common form of epilepsy treatment. Most patients require only one medication, but some need to take the combination of the two. For the doctor to find the correct dosage for the patient and the best dosage that fits them right.

Different drugs are however used to treat different kinds of seizure disorder. Complex and simple partial seizures respond to such drugs like valproic acid, phenytoin, tiagabine, lamotrigine and topiramate (Grimes, 2009). Absence seizure is said to be sensitive to lamotrigine, ethosuximide, and valproate. The treatment of myoclonic seizures can be made with clonazepam and valproate. Tonic seizures, on the other hand, respond to felbamate, valproate, and clonazepam. The psychogenic nonepileptic seizures are relative common since it is reported that up to 20% of the outpatient have an intractable seizure are found to have behavioral episodes rather than epilepsy.

Self-Management

It is usually necessary to maximize the efficacy of treatment and the illness. The interventions made offer the best means of providing the knowledge on epilepsy and sports restrictions. Self-management include learning when to visit an emergency and the appropriate measures that should be taken during a seizure (Grimes, 2009). Although there has been a good prognosis for the control of epilepsy with the medication of patients, a small number though continue to have a seizure and they have been progressively and interactively. For some patients, surgery has been another real thing to act as therapy while others have had to benefit from a ketogenic diet or vagal nerve stimulation.

Prognosis

The prognosis of the children who have a febrile seizure is quite good since the convulsions are said to cease when the child is at the age of 5. The prognosis states that “about 80% of people with seizures can be treated with medication and the remaining 20% are said to have intractable epilepsy” (Grimes, 2009 p.50).   The children are expected to be normal even after they have the disorder.

Management of the seizure of children

For the parents, there is a need for the educational, social and psychological needs of the children to establish the correct diagnosis and control. The multidisciplinary team should be in the front line acting for the sake of the children with seizures and epilepsy. The team should have a neurologist, hospital or community and lastly, it should have a pediatrician with the increased interest in the subject, social worker, nurse and clinical psychologist (El-Radhi, 2015).A family-centered care should be established so that the parents should stop worrying about their children. The parents should be able to be educated on the risk of stigma; that is isolating their children from the others due to shame and allow the child to lead a free life with high self-esteem.

References

Cerqueira, D. F., Vieira, A S., Maia, L. C., & Sweet, E. (2007) Severe tongue injury in an adolescent with epilepsy. A case report. Special Care in Dentistry. 27(4), 154-157. doi:10.1111/j.1754-4505.2007.tb00339.x

El-Radhi, A. S. (2015).Management of seizures in children. British Journal of Nursing 24(3), s152-155. doi:10.12968/bjon.2015.24.3.152

Grimes, E. B. (2009). Medical Emergencies: Essentials for the Dental profession. Upper Saddle River, NJ: Pearson Prentice Hall. MedlinePlus – Health Information from the National Library of Medicine. (n.d.). Retrieved October 11, 2016, from https://mcdlineplus.gov/

Jason Brandt, PhD and Antonio N. Puente, PhD. (n.d.). Update on Psychogenic Nonepileptic Seizure Page 3 of 3. Retrieved October 11, 2016, from htto://www,psychiatrictimes.com/special-renorts/update-psychoszenic-nonepilevtic-seizures/page/0/3